Northern Lakes Community Mental Health Authority
Northern Lakes Community Mental Health Authority was paid $148.65M by Medicaid between Jan 2018 and Nov 2024, across 57 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 15% of everything it billed.
33Billing provider infoNORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
33aNPI1518068071assigned 09/26/2006
33bProvider typeOccupational Therapist
28Total paid$148.65M
24GClaims684,682
24DCodes billed57
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Occupational Therapist providers in Michigan
Rank by total paid#1 of 59
Median peer was paid$111K
This provider vs. median1,341×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 96,235 | $19.58M | |
| 2019 | 91,365 | $19.97M | |
| 2020 | 105,858 | $20.47M | |
| 2021 | 107,308 | $23.30M | |
| 2022 | 102,373 | $23.33M | |
| 2023 | 94,568 | $22.33M | |
| 2024incomplete | 86,975 | $19.66M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 15% | 103,116 | 66,518 | $21.86M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 12% | 80,145 | 2,825 | $18.49M |
| T1020 | Help at home with daily living, billed per dayPersonal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 8.7% | 80,110 | 2,826 | $13.01M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 7.1% | 51,024 | 7,316 | $10.52M |
| T2022 | Case management, per month | 6.4% | 18,113 | 18,112 | $9.51M |
| H2011 | Crisis intervention service, per 15 minutes | 5.0% | 22,957 | 14,984 | $7.38M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 4.7% | 21,440 | 6,226 | $6.95M |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 4.6% | 12,633 | 9,075 | $6.86M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.4% | 27,977 | 25,423 | $6.53M |
| H0032 | Mental health service plan development by non-physician | 3.7% | 14,599 | 13,313 | $5.45M |
| H2030 | Mental health clubhouse services, per 15 minutes | 3.7% | 79,007 | 8,122 | $5.45M |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 2.7% | 23,668 | 12,904 | $4.08M |
45 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.1% | 10,320 | $3.17M |
| H0031 | Mental health assessment, by non-physician | 2.0% | 6,261 | $2.95M |
| 90837 | Psychotherapy session, about an hour | 1.9% | 11,563 | $2.85M |
| 90791 | Psychiatric diagnostic evaluation | 1.8% | 5,837 | $2.62M |
| T1016 | Case management, each 15 minutes | 1.6% | 12,327 | $2.43M |
| 90834 | Psychotherapy session, about 45 minutes | 1.6% | 18,211 | $2.39M |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 1.4% | 9,237 | $2.06M |
| H0038 | Self-help/peer services, per 15 minutes | 1.0% | 8,383 | $1.51M |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 4,121 | $1.48M |
| T1001 | Nursing assessment / evaluation | <1% | 4,084 | $1.36M |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,093 | $1.16M |
| S5111 | Home care training, family; per session | <1% | 4,697 | $1.06M |
| T1002 | Rn services, up to 15 minutes | <1% | 4,345 | $1.05M |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 13,694 | $920K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 7,616 | $895K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 4,666 | $890K |
| S9482 | Family stabilization services, per 15 minutes | <1% | 2,569 | $818K |
| H2021 | Community-based wrap-around services, per 15 minutes | <1% | 2,411 | $799K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 1,565 | $553K |
| Q3014 | Telehealth originating site facility fee | <1% | 6,728 | $343K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,634 | $327K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 909 | $184K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 793 | $150K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 1,128 | $117K |
| 0365T | <1% | 588 | $92K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 239 | $67K |
| H2014 | Skills training and development, per 15 minutes | <1% | 1,137 | $60K |
| 96101 | <1% | 82 | $50K | |
| T1005 | Respite care services, up to 15 minutes | <1% | 620 | $44K |
| 0369T | <1% | 269 | $39K | |
| H2023 | Supported employment, per 15 minutes | <1% | 411 | $19K |
| 0364T | <1% | 604 | $17K | |
| 0368T | <1% | 279 | $16K | |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | <1% | 43 | $13K |
| T2036 | Therapeutic camping, overnight, waiver; each session | <1% | 66 | $10K |
| H0045 | Respite care services, not in the home, per diem | <1% | 64 | $8K |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 80 | $8K |
| S9484 | Crisis intervention mental health services, per hour | <1% | 27 | $8K |
| 0370T | <1% | 59 | $7K | |
| 96137 | <1% | 15 | $6K | |
| 96136 | <1% | 15 | $5K | |
| T2025 | Waiver services not otherwise specified | <1% | 22 | $5K |
| S5116 | Home care training, non-family; per session | <1% | 14 | $4K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 50 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | $3K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSTEVENSON, NANCY (COO)
| Provider | Location | Paid |
|---|---|---|
| Northern Lakes Community Mental Health Authority | Traverse City, MI | $92K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.